Optic disc pit maculopathy treated with vitrectomy, internal limiting membrane peeling, and air in a 5-year-old boy

2010 ◽  
Vol 45 (2) ◽  
pp. 189-191 ◽  
Author(s):  
Ilias Georgalas ◽  
Agathi Kouri ◽  
Ioannis Ladas ◽  
Eustratios Gotzaridis
Keyword(s):  
Optic Disc ◽  
Internal Limiting Membrane ◽  
Optic Disc Pit ◽  
Internal Limiting Membrane Peeling ◽  
Membrane Peeling ◽  
Optic Disc Pit Maculopathy

Optic Disc Pit Maculopathy Treated with Vitrectomy, Internal Limiting Membrane Peeling, and Gas Tamponade: A Report of Two Cases

2009 ◽  
Vol 19 (2) ◽  
pp. 324-326 ◽  
Author(s):  
Ilias Georgalas ◽  
Petros Petrou ◽  
Chrysanthi Koutsandrea ◽  
Dimitris Papaconstadinou ◽  
Ioannis Ladas ◽  
...  
Keyword(s):  
Optic Disc ◽  
Internal Limiting Membrane ◽  
Optic Disc Pit ◽  
Internal Limiting Membrane Peeling ◽  
Membrane Peeling ◽  
Gas Tamponade ◽  
Optic Disc Pit Maculopathy

scholarly journals A Conservative Surgical Approach to the Treatment of Optic Disc Pit Maculopathy: Four Case Reports

2020 ◽  
Vol 11 (2) ◽  
pp. 196-204
Author(s):  
Emilio Rapizzi ◽  
Paola Gallon ◽  
Diego Ponzin ◽  
Stefano Ferrari ◽  
Nicola Zemella
Keyword(s):  
Optic Disc ◽  
Case Reports ◽  
Posterior Vitreous Detachment ◽  
Subretinal Fluid ◽  
Internal Limiting Membrane ◽  
Conservative Approach ◽  
Optic Disc Pit ◽  
Surgical Interventions ◽  
Optic Disc Pit Maculopathy ◽  
Intravitreal Gas

The purpose of this report is to present the outcomes of surgical interventions in 4 patients with maculopathy associated with optic disc pit (ODP). We report 4 cases of patients affected by ODP maculopathy and treated by core vitrectomy with induction of posterior vitreous detachment and peeling of the internal limiting membrane restricted to the interpapillary macular zone without laser treatment and gas tamponade. The patients had rapid resolution of the multilayer inner retinoschisis-like separation and progressive slow reabsorption of the macular intraretinal and subretinal fluid up to complete retinal reattachment. Currently, there are still no widely accepted guidelines related to the best technique in the management of the maculopathy associated with ODP. We used a conservative approach, without the adoption of intravitreal gas injection or laser.

Optic Disc Pit Maculopathy after Prone Positioning Spine Surgery

2017 ◽  
Vol 27 (5) ◽  
pp. e144-e146
Author(s):  
Marcos Ruiz-Sánchez ◽  
Maria E. Rodríguez-González-Herrero ◽  
Jenifer Ruiz-Sará
Keyword(s):  
Optic Disc ◽  
Prone Position ◽  
Spine Surgery ◽  
Patient Positioning ◽  
Internal Limiting Membrane ◽  
Prone Positioning ◽  
Optic Disc Pit ◽  
Visual Acuity Loss ◽  
Optic Disc Pit Maculopathy

Purpose To report a case of optic disc pit maculopathy after spine surgery performed in the prone position. Methods Case report. Results A 32-year-old man underwent spine surgery for disc herniation repair. He complained of visual acuity loss immediately after the procedure. Optic disc maculopathy with internal limiting membrane detachment was found to be the cause. Vitrectomy was scheduled after a 12-month follow-up without resolution of the maculopathy. Conclusions Optic disc maculopathy has not previously been associated with nonocular surgery or patient positioning. Physiologic changes induced by the prone position likely altered the pressure gradient in the eye and led to the development of the maculopathy.

Retinal Displacement Toward Optic Disc After Internal Limiting Membrane Peeling for Idiopathic Macular Hole

2014 ◽  
Vol 157 (5) ◽  
pp. 971-977 ◽  
Author(s):  
Masahiro Ishida ◽  
Yoshikazu Ichikawa ◽  
Rieko Higashida ◽  
Yorihisa Tsutsumi ◽  
Atsushi Ishikawa ◽  
...  
Keyword(s):  
Macular Hole ◽  
Optic Disc ◽  
Internal Limiting Membrane ◽  
Idiopathic Macular Hole ◽  
Internal Limiting Membrane Peeling ◽  
Membrane Peeling

Comparison of various surgical techniques for optic disc pit maculopathy: vitrectomy with internal limiting membrane (ILM) peeling alone versus inverted ILM flap ‘plug’ versus autologous scleral ‘plug’

2020 ◽  
pp. bjophthalmol-2019-315075 ◽  
Author(s):  
Naresh Babu ◽  
Piyush Kohli ◽  
Kim Ramasamy
Keyword(s):  
Optic Disc ◽  
Surgical Techniques ◽  
Subretinal Fluid ◽  
Internal Limiting Membrane ◽  
Optic Disc Pit ◽  
Ilm Peeling ◽  
Post Surgery ◽  
Optic Disc Pit Maculopathy ◽  
Group 2 ◽  
Anatomical Success

AimTo compare the anatomical and visual outcomes of vitrectomy with internal limiting membrane (ILM) peeling alone versus inverted ILM flap to plug the pit versus autologous scleral plug for the treatment of optic disc pit maculopathy (ODP-M).MethodsThis retrospective study included 23 patients (23 eyes) who underwent 25G pars plana vitrectomy, ILM peeling and gas tamponade. While the pit was not plugged in group 1 (n=8), inverted ILM flap and autologous scleral flap were used to plug the pit in group 2 (n=7) and group 3 (n=8), respectively. Complete anatomical success was defined as total resolution of subretinal fluid (SRF) and macular schisis on optical coherence tomography while visual success was defined as a gain of at least 2 Snellen lines 1 year after surgery.ResultsBaseline characteristics were similar in all three groups. Mean central foveal thickness and SRF decreased in all three groups (p<0.05). Complete anatomical success was achieved in 25.0%, 85.7% and 87.5% eyes while visual success was achieved in 12.5%, 28.6% and 12.5% eyes in groups 1, 2 and 3, respectively. One eye (4.3%) in group 2 developed full-thickness macular hole at 1 month post-surgery. After complete resolution, there was no recurrence of fluid.ConclusionOPD-M has a better surgical outcome if the pit is plugged. Both inverted ILM flap and autologous scleral plug are equally efficacious adjuncts to plug the pit.

scholarly journals Inverted ILM flap technique in Optic Disc Pit Maculopathy: An Iranian experience with review of the literature

2021 ◽  
Author(s):  
Ali Tavallali ◽  
Yasaman Sadeghi ◽  
Seyed-Hossein Abtahi ◽  
Hosein Nouri ◽  
Mitra Rezaei ◽  
...  
Keyword(s):  
Optic Disc ◽  
Posterior Vitreous Detachment ◽  
Surgical Techniques ◽  
Case Series ◽  
Internal Limiting Membrane ◽  
Optic Disc Pit ◽  
Review Of The Literature ◽  
Pars Plana ◽  
Optic Disc Pit Maculopathy ◽  
Prospective Case Series

Abstract Purpose To present the outcome of optic disc pit maculopathy (ODPM) managed successfully with inverted internal limiting membrane (ILM) flap over the optic disc. Methods This prospective case series included three patients with ODPM who underwent pars plana vitrectomy with posterior vitreous detachment induction, followed by inverted ILM flap over the optic disc and gas tamponade. Patients were followed for 7-16 weeks as regards their functional and anatomical findings. A narrative review is also provided about Pathology, Pathogenesis, and surgical techniques in the treatment of ODPM Results Three adult patients (25–39 years old) were evaluated, with a mean duration of decreased visual acuity of 7.33 ± 2.40 months (4-12 months). Postoperatively, BCVA improved dramatically in one patient from 2/200 to 20/25. BCVA in the other two improved two and three lines, to 20/50 and 20/30, respectively. Significant anatomic improvement was achieved in all patients. Conclusion Vitrectomy with inverted ILM flap insertion over the optic disc can yield favorable anatomical improvement in patients with ODPM.

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